LISA MICHELLE SONG - Dietitian and Nutritionist License in New Mexico | # 164011727

LISA MICHELLE SONG

Business Entity

NOT RENEWED

License Type

Dietitian and Nutritionist

Description

LICENSED DIETITIAN NUTRITIONIST

License Number

164011727

License Status

NOT RENEWED

Business

N

First Name

LISA

Middle

MICHELLE

Last Name

SONG

Business Name

LISA MICHELLE SONG

Original Issue Date

01/13/2025

Effective Date

01/13/2025

Expiration Date

10/31/2025

State

NM

Ever Disciplined

N

LastModifiedDate

02/04/2026